Individual
BLAINE BARNHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2373 E MAIN ST, PLAINFIELD, IN 46168-2717
(317) 839-0713
(317) 837-4093
Mailing address
738 W 600 N, FORTVILLE, IN 46040-9717
(317) 919-8995
(317) 837-4093
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200858190
—
IN
Enumeration date
07/27/2006
Last updated
07/20/2012
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